| NPI | 1881100436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: KY 019150) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: IN 26027056A) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |